South Asian Conference on Sanitation (SACOSAN)-IV Pakistan Progress Update April 4 th, 2011 South...

South Asian Conference on South Asian Conference on Sanitation (SACOSAN)-IVSanitation (SACOSAN)-IV

Pakistan Progress UpdatePakistan Progress UpdateApril 4April 4thth, 2011, 2011

Jawed Ali KhanDG (Environment), MOE, Pakistan

Ministry of EnvironmentMinistry of Environment

Government of PakistanGovernment of PakistanMinistry of EnvironmentMinistry of Environment

Country at a GlanceCountry at a Glance

PopulationPopulation 173 million (36% Urban , 64% Rural) Growth Rate 2.05%

GDPGDP 5.8% during 2000-2008, Per Capital Income > US$ 1000 in 2o09

Poverty linePoverty line 36% population lives below US$ 1.25 per day

Health Health IndicatorsIndicators

Infant mortality rate (65 per 1000 deaths) and mortality rate for children under 5 (95 per 1000 children’s deaths) USAID reports that 60% of child mortality cases are due to poor water and sanitationDiarrhea alone causes 16% of these deaths ( Word Health Report 2010)Roughly one-third of under five children face malnutrition (World Development Report 2010)

MINISTRY OF MINISTRY OF ENVIRONMENTENVIRONMENT

Statistical AssessmentStatistical Assessment

Access to improved sanitation: 45 % (JMP 2010)

Pakistan Standard of Living Measurement Survey (2007-8): 73% population has access to a latrine (Flush & Non-Flush)

Pakistan has been able to increase coverage from 32.5 million people in 1990 to 75 million in 2009.

OD declined from 51% to 27% during this period

Diarrhoea leading cause of mortality for children under 5 (PDHS 2006-7)

117,000 children under 5 die each year of diarrhoea (PDHS 2008) i.e. 13 children/ hour

Pakistan is off-track to reach the MDG on sanitation

Pakistan Progress: Country Commitment Pakistan Progress: Country Commitment

Sanitation recognized as a basic human right by provincial policies and strategies;

In 2009, Pakistan Conference on Sanitation (PACOSAN) was conceived to translate the objectives of Delhi Declaration 2008;

Development of Pakistan Approach to Total Sanitation (PATS); Formulation of National Sanitation Action Plan (2010-15); Activation of WASH Cluster/WATSAN Working Group in response to

Floods 2010; Prime Minister’s Program on Sanitation being developed to actualize

Pakistan’s commitment to achieving MDGs; Passing of 18th constitutional amendment to accelerate service

delivery and improve fiscal flows at provincial/ local levels;


Sanitation is included in National & Provincial Development Frameworks: PRSP-II (2011-13), 10th Five Year Plan (2010-15) and Vision 2030;

Formulation of National Behaviour Change Communication (BCC) Strategy;

Formulation of Provincial Sanitation Policies, Strategies and Action Plans;

Formulation of Provincial BCC Strategies and Action Plans; Enforcement of Hospital Waste Management Rules; Formulation of National Drinking Water Policy 2009 enhancing

the role of National Sanitation and Drinking Water Implementation Committee;

Pakistan Progress: Enabling Policies Pakistan Progress: Enabling Policies


Provincial policies clarifying role of different stakeholders especially Local Government and Public Health Engineering Departments to cover urban and rural dimensions;

Formulation of Core Group on WATSAN for sector coordination;

Establishment of WATSAN cells at provincial level;

Restructuring of urban and rural service providers with performance benchmarking

Effective and Accountable Institutions Effective and Accountable Institutions


Expenditure on WATSAN increased 118% from Rs. 10.3 billion to Rs. 22.5 billion in six years (sanitation 8% approx.)

Expenditure on WATSAN as percentage of GDP is 0.17%

Allocation of additional resources through 10th Five Year Plan and Federal and Provincial Annual Development Plans

Pakistan Progress: Public Sector Financing Pakistan Progress: Public Sector Financing


Major finances for sanitation infrastructure mobilized through ADB;

USD 253 million raised through flash appeal for flood emergency response 2010-2011;

USD 7.5 billion committed under USAID for 2011-15;

USD 5 million committed under Global Sanitation Fund in 2011;

External Financing External Financing


Disaggregated data for sanitation and water

Inadequate funding and inter-governmental coordination

Capacity Constraints at local level i.e. TMA etc

Effective Monitoring Framework

Harmonization of Indicators (Joint Monitoring Program/ PSLM)

Challenges Challenges


Roll out of Pakistan Approach to Total Sanitation (PATS) at national and provincial levels;

Launch of Prime Minister’s Programme on Sanitation

Strengthening of Sector Coordination amongst Stakeholders;

Up scaling of best practices;

Resource mobilization

Effective monitoring mechanism and data management

Separate budget lines for sanitation

The Way ForwardThe Way Forward


THANK YOUTHANK YOU

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